MORNING CASE REPORTMonday, July 13th 2015

Doctors in charge :

AsepDiki

MaruliDarmaRessi

Amarvir

Consultant :dr. M. Naseh Sajadi Budi Irawan., Sp.OT

Boy A, 7 y.o

Working Diagnosis

• Compartement syndrome at right forearm due to neglected closed fracture of the right radius middle 3rd comminutive displaced and neglected closed fracture of the right ulna middle 3rd oblique undisplaced Sularto classification type IV

Management

• We administered analgetic and antibiotic• Performed fasciotomy for the compartement

syndrome• Perform intramedullary wire for radius and

ulnar fracture and immobilization with posterior slab

Mr. W, 38 y.o

Working Diagnosis

• Mild head injury• Epidural haematoma at right frontal region• Closed linear fracture at right frontal and left parietal

region• Closed fracture of the base proximal phalanx of the

ring finger of the right hand comminutive displaced• Closed fracture of the head proximal phalanx of the

little finger of the right hand transverse displaced• Closed fracture of the neck 5th metacarpal of the

right hand comminutive displaced

Management

• We administered analgetic• From neurosurgery departement– They perform conservative treatment

• From orthopaedic and traumatology departement– We plan to perform open reduction internal

fixation with oepn reduction internal fixation with plate and screw electively

Mr. A 25 y.o

• Open fracture of the right supracondylar femur AO Classification 33 C3 Gustilo Anderson grade IIIA

• Closed fracture of the right tibial plateau Schatzker tipe IV

• Closed fracture of the right tibia middle 3rd comminutive displaced Tsherne grade 0

• Closed fracture of the right fibula segmental displaced

Working Diagnosis

Management

• Administered analgetic, antibiotic and tetanus prophylactic

• We plan to perform – debridement, suture and immobilzation with

skeletal traction in operating theatre– Open reduction internal fixation electively for

femur and tibial fracture but the patient refused so we performed wound cleansing, suturing and immobilization with wood splint.

Thank You